Pallas Health HRT Reviews: 4 Plans, Real Costs and Who It Fits

Pallas Health HRT reviews: what do real customers say?

We did not establish an independent HRT-specific patient track record in the sources we checked. Pallas's Trustpilot page had one review about weight-loss care on October 20, 2026, and the quotes on Pallas's hormone page are labeled as coming from across its programs. So for now, you're judging the offer, not a body of hormone patients' experiences.

That's not a scandal. It is a limit on what we can tell you. Pallas's clinical disclosures still contain July 2026 portal-launch wording, but that doesn't establish when its HRT program began or explain the lack of HRT reviews we found.

But it does mean the usual shortcut — "lots of five-star reviews, must be fine" — isn't available. Here's everything we found, and what each piece can and can't tell you.

The review evidence for Pallas's hormone therapy (checked October 20, 2026)

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Pallas Health HRT reviews: what do real customers say?, table 1

Where you'd look	What's there	What it tells you about Pallas HRT
Trustpilot	Profile claimed by Pallas in July 2026. One review about weight-loss care. Listed under "Weight Loss Service."	No HRT-specific experience in that review; one review cannot establish overall service quality
Pallas's homepage	"4.8/5.0 from 2,400+ member reviews" and "200,000+ patients." No review platform, dates or method named.	Can't be checked, and isn't hormone-specific
Quotes on Pallas's hormone page	Eight short quotes. Pallas labels them feedback "across our programs." They talk about NAD+ shots, skin, shipping and support; several don't identify a treatment.	None explicitly identifies hormone therapy
Reddit, Better Business Bureau	Nothing we could find about Pallas hormone care	Nothing yet
Other review websites	Reviews we found from HealingMaps and The RX Index, cover Pallas's weight-loss program. HealingMaps now says it no longer sends readers to Pallas, citing its price after the first month and its lack of a customer record.	Signals about the company. They aren't about its hormone care.
Pallas's own footer	Says some site content is AI-generated and that people shown in marketing may be actors or models	Treat photos and marketing copy as marketing

One service quote, and what it can't prove

Pallas does publish this short comment from a member it calls Jenna K.:

"I never felt rushed. My provider explained every option and let me decide what fit."

It's a nice thing to hear, and it's the kind of care most women want. But read the label carefully. Pallas posted it in a section covering all its programs, and it doesn't say which treatment Jenna received. We can't confirm who wrote it. It tells you what Pallas wants to highlight about its service, not how hormone therapy goes.

How to read the reviews that do show up later

When Pallas hormone reviews start appearing, four questions sort the useful ones from the noise:

1. Does the review name hormone therapy? A happy weight-loss customer tells you about shipping, not estrogen.
2. Was it written before the medicine arrived? "Easy sign-up" on day one is honest, but it can't tell you about month three.
3. Is it about one visit or months of care? Refills, dose changes and how fast someone answers a worried message matter more over time.
4. Is the price or policy it mentions still current? Pallas has already changed how it bills its weight-loss plans once.

Check the company name: this review covers Pallas Health at pallashealth.co, operated by Brentmoor, Inc. Pallas Clinic in Latvia and Pallas Kliniken in Switzerland are different named services; their reviews don't establish the quality of Pallas Health's HRT care.

Since reviews can't answer the question yet, the next three sections do: what you'd actually get, what it really costs, and whether it fits your body.

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What's in each Pallas HRT plan?

Pallas offers four hormone plans: progesterone capsules, an estradiol vaginal cream, a Biest-plus-progesterone skin cream, and an estradiol patch. Each plan is one product, sold as a 12-week supply for $129 to $399. Pallas says two of them, the Biest cream and the vaginal cream, are compounded and not FDA-approved.

First, three quick terms, in plain words:

• Whole-body (systemic) therapy travels through your bloodstream. Systemic estrogen treats hot flashes and night sweats. Estradiol pills, patches and skin gels are systemic.
• Local therapy stays mostly where you put it. Low-dose vaginal estrogen is local. It helps vaginal dryness and pain with sex, not hot flashes.
• Compounded means a pharmacy mixes the medicine for you. The FDA doesn't review compounded drugs for safety, effectiveness or quality before they're sold (FDA). FDA-approved means the finished pill, patch or cream in the box went through that review.

Now the four plans, side by side. This is the table we wish Pallas published.

The Pallas HRT Plan Decoder (prices from Pallas's hormone page, read October 20, 2026. "Not stated" means Pallas didn't say — ask before you pay.)

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What's in each Pallas HRT plan?, table 2

	Progesterone capsules	Estradiol vaginal cream	Biest + progesterone cream	Estradiol patch
What's in it	Progesterone, taken by mouth	Estradiol, used inside the vagina	Two estrogens (estriol and estradiol) plus progesterone, in one skin cream	Estradiol, through the skin
Whole-body or local?	Whole-body	Intended for vaginal symptoms; confirm the dose and expected absorption	Whole-body (Pallas calls it systemic)	Whole-body
FDA-approved or compounded?	Not stated	Compounded (Pallas says so)	Compounded (Pallas says so). Estriol isn't in any FDA-approved U.S. product.	Not stated
Protects the uterine lining?	Can provide protection with an appropriate product, dose and schedule; Pallas's exact capsule is not identified	Pallas says usually no added progestogen; confirm this for your exact dose. The cream itself does not protect the lining.	Relies on progesterone through the skin, which hasn't been shown to protect reliably (see below)	No. It contains no progestogen.
Pallas says it's usually for	Perimenopause on its own, or alongside estrogen	Vaginal dryness and discomfort	Women with a uterus who want whole-body estrogen (Pallas's default)	Women without a uterus, or who already get progesterone from another prescriber
Price per 12-week supply	$129	$229	$269	$399
Pallas's "per month"	$43	about $76	about $90	$133
The question to ask	"Is this an FDA-approved progesterone product? Who makes it?"	"Why compounded instead of an FDA-approved estradiol vaginal cream or tablet?"	"What evidence supports this cream's protection of my uterine lining?"	"Which patch and strength? Who manages my progesterone?"

The usual advice for low-dose vaginal estrogen should not be assumed to cover an unspecified compounded cream; ask about its strength, dose and whether you need uterine-lining protection (The Menopause Society).

How a Pallas visit works

Here's the process as Pallas describes it on its hormone and Utah pages. These are Pallas's statements, not something we tested.

1. You fill out an online intake. Pallas says it takes about two to five minutes: your symptoms, health history and the form of medicine you'd prefer.
2. A clinician licensed in your state reviews it. In most states that happens by secure message. Pallas says it requires a short starting video visit in seven states plus Washington, D.C.: Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota and West Virginia.
3. You're charged only if you're prescribed something. Nothing is charged at checkout.
4. A pharmacy ships your 12-week supply. Pallas's hormone page says it ships in about a week; its Utah page says shipping takes two to three business days.
5. Care continues. Pallas says check-ins and messaging with your care team are included.

Why "each plan is one product" matters

Pallas's FAQ says each plan covers one product. That sounds simple, and for some women it is. If your clinician recommends progesterone alone, or a patch after a hysterectomy, one product may cover that hormone need.

It gets tricky if you need two things at once — most often estrogen plus a progestogen. The patch plan contains no progesterone. Pallas's answer, in its FAQ, is that women with a uterus who want whole-body estrogen will usually be prescribed the combined Biest cream instead. That's the decision we unpack in the uterus section below.

"Bioidentical" isn't the same as "approved." The word means a hormone has the same chemical shape as the one your body makes. Many FDA-approved products are bioidentical. So are many compounded ones. When you see "bioidentical," your next question is always: approved product, or compounded? (compounded vs FDA-approved HRT, explained)

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What will Pallas HRT cost, and when are you charged?

Pallas publishes one payment for each 12-week supply — $129, $229, $269 or $399 — when a clinician prescribes, then a renewal every 12 weeks until you cancel. If you continue at the same price and every renewal is prescribed and billed on schedule, you pay twice in the first 90 days and five times in the first 365 days.

Pallas prints all of this. Nothing here is hidden. But "$43 a month" means something different from what most of us picture.

Here's the plain version. Pallas divides each 12-week price by three to get its "per month" number. That's really the cost of four weeks, and four weeks isn't a calendar month. The published progesterone subscription charge is $129 per 12 weeks; $43 is its four-week equivalent.

Your payment dates, worked out

Here's an example to make it concrete. Say a clinician prescribes your plan on October 20, 2026. Assuming nothing changes and each renewal goes through on time, your charge dates would be:

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Your payment dates, worked out, table 3

Charge	Date (example)	Day
1st	October 20, 2026	Day 1
2nd	January 12, 2027	Day 85
3rd	April 6, 2027	Day 169
4th	June 29, 2027	Day 253
5th	September 21, 2027	Day 337
6th	December 14, 2027	Day 421 (year two)

These are illustrative dates, not a quote or a guaranteed schedule. Day 1 is the prescription and first-charge date, not the day you fill out the intake or the day the box arrives.

What each plan costs: first 90 days, first year, and annualized ongoing cost

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What each plan costs: first 90 days, first year, and annualized ongoing cost, table 4

Plan	Paid when prescribed	Paid in first 90 days	Paid in first 365 days	Annualized plan cost	Calendar-month equivalent
Progesterone capsules	$129	$258 (2 charges)	$645 (5 charges)	about $561	$46.71
Estradiol vaginal cream	$229	$458 (2 charges)	$1,145 (5 charges)	about $995	$82.92
Biest + progesterone cream	$269	$538 (2 charges)	$1,345 (5 charges)	about $1,169	$97.41
Estradiol patch	$399	$798 (2 charges)	$1,995 (5 charges)	about $1,734	$144.48

How we got these numbers. "First 90 days" and "first 365 days" count modeled charge dates: day 1, day 85, and so on. "Annualized plan cost" = price ÷ 84 days × 365. "Calendar-month equivalent" = that yearly figure ÷ 12. Prices from Pallas's hormone page, October 20, 2026. These figures assume you continue, prices stay the same and every renewal is prescribed and billed on schedule. The annualized figure is a rate, not the cash debited in every calendar year.

Plan charges only. Required labs, another prescription or other unpriced care can increase the total.

Two honest notes about the first-year column:

• Five payments buy five 12-week supplies — 60 weeks of medicine. So part of your fifth payment covers supply extending into year two. Year one costs more in cash than the annualized figure because of that overlap, not because anything is hidden.
• Two payments in 90 days buy 24 weeks of medicine, not 13. You're paying ahead, not paying twice for the same thing.

What's included, and what's still unknown

A plan price isn't always the price of your full care. An unknown cost isn't zero. It means the total is incomplete.

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What's included, and what's still unknown, table 5

Cost or term	What Pallas's documents say	What it means for you
Charge at checkout	None. You're charged only once a clinician prescribes.	$0 to start the intake
What the plan includes	Clinician review, check-ins, care-team messaging, one medicine, free shipping	Pallas's statement, not a guarantee of care quality
A second medicine (for example, patch + capsules)	Not published	Unknown. If Pallas lets you hold both plans, simply adding the published prices gives $528 per 12 weeks. Pallas doesn't publish that combination. Ask.
Lab tests, if ordered	Pallas says the clinician decides whether tests are needed. No lab price is published.	Unknown
Insurance	Not billed. Cash only.	No insurance benefit through Pallas
HSA / FSA	Pallas says plans are eligible	Your plan administrator has the final say
Pay over time	Offered at checkout	We didn't review the financing terms. Read the lender's terms before you choose it.
Commitment	One 12-week supply per plan payment; general Terms say orders are final once prescribed	No minimum commitment beyond a paid 12-week cycle was found. Confirm the HRT cancellation rules and exceptions (details).
Discounts	None found for the hormone plans	Ignore Pallas weight-loss promos. They don't apply here.

Is Pallas cheaper or pricier than Gala?

It depends on the plan, and we'll say so plainly. Gala advertises its HRT at $69 a month, on its HRT page (read October 20, 2026). The page doesn't establish the price of every medicine or combination, the billing interval, or the amount due at signup. Compare your actual prescription quote before calling either service cheaper.

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Is Pallas cheaper or pricier than Gala?, table 6

	Pallas	Gala's published offer and remaining question
Progesterone alone	$46.71 calendar-month equivalent ($645 paid in the first 365 days under the schedule above)	HRT advertised at $69/month; the standalone progesterone price isn't separately confirmed
Estradiol patch	$144.48 calendar-month equivalent ($1,995 paid in the first 365 days under that schedule)	Patch listed; its exact prescription price isn't separately confirmed
Estrogen + progesterone	Biest cream: $97.41 calendar-month equivalent ($1,345 paid in the first 365 days under that schedule)	Estradiol and oral progesterone listed; confirm whether the quoted price covers both. This is a different formulation from Biest.
First payment	The full 12 weeks ($129–$399), after prescribing	$69/month advertised; amount and timing due initially need confirmation

Two billing examples, not Gala quotes or a verified price range: twelve $69 payments would total $828. Fourteen $69 payments on a 28-day schedule, starting on day 1, would total $966 within 365 days. Gala's public page doesn't specify that interval or the full price for your medicines.

Our read: Pallas's published progesterone price is below Gala's $69 monthly headline; its patch and Biest prices are above it. That isn't a matched-prescription comparison. Gala is worth checking for a patch or estrogen plus oral progesterone, but confirm the exact products and full quote. If your quote is $69 billed one month at a time, it would mean less cash upfront than Pallas's 12-week payment. For the full cross-provider picture, see what online HRT costs in 2026.

Still not sure which kind of plan your body needs? The right online menopause care isn't the same for every woman — it depends on your symptoms, what you've already tried, your age, your state and your health history. Some situations belong with an in-person clinician first. Use The HRT Index's Find My HRT Path tool to explore a featured care option for your situation — and to flag when online care isn't the right starting point — before your first consult.

It's free, takes about 60 seconds and doesn't ask for your email. It asks five questions and then shows a featured online option, or guidance when online care isn't the right place to begin. It isn't a diagnosis or a decision about hormones — a clinician makes that call. One honest note: the quiz currently features Gala and Winona, not Pallas, and we may earn a commission from the providers it features.

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Is Pallas's Biest cream FDA-approved, and what is estriol?

No. Pallas says its Biest-plus-progesterone cream is compounded, which means a pharmacy mixes it for you and the FDA hasn't reviewed it for safety, effectiveness or quality. One of its two estrogens, estriol, isn't in any FDA-approved product sold in the U.S.

What "Biest" means

"Biest" is short for "bi-estrogen," meaning two estrogens. In Pallas's cream they're estriol and estradiol, mixed with progesterone in one cream you rub into your skin, according to Pallas's hormone page. Pallas doesn't publish the strengths. Those are set by the prescription.

• Estradiol is the main estrogen your ovaries make before menopause. It's in many FDA-approved pills, patches, gels, sprays and vaginal products.
• Estriol is another estrogen. The FDA says there are no FDA-approved drugs containing estriol, and it does not have evidence that estriol drugs are safe and effective or safer than approved estrogen products (FDA).

What "compounded" means for you, practically

Compounding has real uses. A woman who's allergic to an ingredient in an approved product, or who needs a dose that no approved product comes in, may need one. But there are trade-offs you should know about:

• No FDA review before it's sold. The FDA says compounded drugs aren't FDA-approved and the agency doesn't verify their safety, effectiveness or quality before marketing (FDA).
• The amount in each batch may vary. The Menopause Society notes compounded hormone products may not contain the amounts prescribed (The Menopause Society).
• They're not a safer or gentler version. In The Menopause Society's words: "Custom-compounded hormones are not safer or more effective than approved bioidentical hormones."
• Doctors' groups prefer approved products when they fit. The American College of Obstetricians and Gynecologists (ACOG) recommends FDA-approved menopause hormone therapy over routine use of compounded hormones when an approved product meets the need (ACOG, 2023; document hosted by the Alabama Board of Medical Examiners).

FDA-approved options that are also "bioidentical"

If what drew you to Biest was wanting hormones that match your body's own, you have approved choices. FDA-approved bioidentical products include estradiol pills, patches, gels and sprays, estradiol vaginal creams, tablets and rings, and oral micronized progesterone. See the full list in our FDA-approved HRT medication list.

Who might still choose Biest

Some women and clinicians choose a compounded cream for a specific reason, such as an allergy or a dose that isn't sold. That's a decision to make with a clinician, knowing the trade-off. The useful question isn't "is Biest good or bad?" It's: "What's the specific reason a compounded cream fits me better than an approved product?"

A note on 2026 label changes: on February 12, 2026, the FDA approved labeling changes for several menopausal hormone therapy products (FDA announcement). Those changes apply to specific approved products. They don't make compounded creams approved, and they don't mean hormones are risk-free. Our 2026 label changes explainer has the details.

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I still have a uterus — which Pallas plan protects it?

If you have a uterus and use whole-body estrogen, you generally need a progestogen too, because estrogen alone can thicken the uterine lining and raise the risk of uterine cancer. Pallas's default for you is the Biest cream, whose progesterone goes through the skin. Research hasn't shown that route reliably protects the lining, so get a clear plan before you start.

This is the single most important section for most women reading this page, so we'll go slowly.

Why the uterus changes everything

The endometrium is the lining of your uterus. Whole-body estrogen makes it grow. Without a progestogen to balance it, that lining can overgrow, a condition called endometrial hyperplasia, and the risk of uterine cancer rises. That's why women who still have a uterus generally need a progestogen with whole-body estrogen (The Menopause Society).

If you've had a hysterectomy (your uterus removed), this worry doesn't apply in the same way. Estrogen alone is usually what's considered.

What Pallas offers if you have a uterus

Pallas's FAQ says that if you have a uterus and want whole-body estrogen, its clinician will usually prescribe the combined Biest cream. The patch, it says, is usually for women without a uterus or who already get progesterone from another prescriber.

So your realistic Pallas paths are:

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What Pallas offers if you have a uterus, table 7

Path at Pallas	What it involves	What to settle first
Biest + progesterone cream ($269 per 12 weeks)	Estrogen and progesterone in one compounded skin cream	What evidence supports the protection plan, and who arranges an assessment if you have unexpected bleeding
Patch + separate progesterone capsules	Two products, and Pallas sells one product per plan	Whether Pallas allows both plans at once, and the combined charge. Simply adding the two published prices gives $528 per 12 weeks — Pallas doesn't publish that combination.
Patch from Pallas, progesterone from your own clinician	Two prescribers managing one regimen	Who's in charge of the whole plan, and that both know everything you take

Why skin progesterone is the question to ask

Progesterone taken by mouth as micronized progesterone is an established way to protect the uterine lining when the product, dose and schedule are appropriate. Prometrium, an FDA-approved oral micronized progesterone product, is labeled to prevent endometrial overgrowth in postmenopausal women with a uterus who take conjugated estrogen tablets (DailyMed label). That label does not identify the capsule Pallas dispenses.

Progesterone in a skin cream is different. A review in the Medical Journal of Australia found that progesterone creams raised blood levels only slightly. A study it described found the amount wasn't enough to stop the uterine lining from growing. The author concluded the evidence didn't support using these creams after menopause (Wren, Med J Aust, 2005).

The British Menopause Society's May 2026 guidance also warns that progesterone in compounded skin creams or gels may not provide enough uterine-lining protection because absorption varies (BMS guidance).

We want to be fair here. That research looked at progesterone creams in general, not Pallas's exact cream, and we found no published study either way on the specific product Pallas sells. We're not saying Pallas's cream fails. We're saying we found no published evidence that its exact cream provides reliable uterine-lining protection, and that's the job that matters most if you have a uterus and use whole-body estrogen.

The three questions to ask in writing

1. "How will this plan protect my uterine lining, and what evidence supports that for this exact cream?"
2. "What should I do if I have bleeding I don't expect, and who arranges any needed examination or tests?"
3. "Could we use an FDA-approved estrogen with oral micronized progesterone instead?"

If you have a hormonal IUD or already take a progestogen from another clinician, tell Pallas its exact name and when it was started. That can change the conversation. Whether it's enough protection is a decision for the clinician who knows your history. Please don't start, stop or change any medicine based on this page.

If you want estrogen plus oral progesterone under one plan

This is where Gala is a strong option to check. On its hormone pages, Gala lists estradiol as a pill or a patch, plus oral micronized progesterone, and says it prescribes "FDA-approved bioidentical forms." Its $69 HRT page describes adding progesterone when needed, including whether a suitable IUD already provides protection. That supports considering Gala for this route; it doesn't establish the price of both medicines together.

Two candid notes before you go. First, Gala doesn't publish the exact product names it dispenses, and one of its other landing pages carries a general notice about compounded medicine, so ask which products you'll get. Second, confirm the full price, first charge and cancellation deadline for your HRT order. Its HRT landing page and general refund policy differ on charge timing, and that policy also describes weight-loss services. Our full Gala HRT review walks through the questions.

If you have a uterus and want estradiol plus progesterone by mouth, Gala lists both. Ask which products you would receive and whether the quoted price covers both before you pay.

Affiliate link · Cash-pay care · A clinician decides whether treatment is right for you.

One Gala patient, Marisa, 49, is quoted on Gala's site saying: "Within three weeks of starting estradiol I was sleeping through the night again." Gala chose and posted that story. It's one woman's experience, not a typical result or proof of what will happen for you.

More on this decision: who needs progesterone with estrogen · HRT benefits and risks

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Is Pallas Health legit, and who prescribes your hormones?

Pallas passes a basic paperwork check. It names its company (Brentmoor, Inc.), its clinical partner (Lion MD), two physicians with federal ID numbers, and the pharmacies it uses. We did not establish an independent HRT patient track record, and neither physician is described on Pallas's medical-team page as a menopause or women's-health specialist.

Who does what

Pallas is a website and a billing system. It doesn't practice medicine itself. Here's the chain, as Pallas describes it in its clinical disclosures (updated October 5, 2026):

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Who does what, table 8

Who	Their job
Pallas Health / Brentmoor, Inc. (Newark, Delaware)	Runs the website, your account and your payments. Says it doesn't employ clinicians or make medical decisions.
Lion MD	A nationwide network of U.S.-licensed clinicians. Your prescriber comes from here.
CareValidate	Checks clinician licenses and coordinates prescriptions with pharmacies
Partner pharmacies	Belmar Pharmacy, Strive Pharmacy, Epiq Scripts, Casa Pharma Rx, The Pharmacy Hub, Foothills Pharmacy and Evoluciona Pharma. Pallas says the one used depends on your medicine, your state and current capacity.

The doctors Pallas names

Pallas names two physicians as its medical leadership:

• Dr. Ana Lisa Carr, MD: board-certified in family medicine, obesity medicine and addiction medicine, according to Pallas. Federal NPI 1689841744.
• Dr. Kelly Tenbrink, MD: board-certified in emergency medicine, according to Pallas. Federal NPI 1346482684.

An NPI (National Provider Identifier) is a federal ID number. A matching registry record can help confirm identity, but a number printed on a provider's website doesn't prove a current state license or board certification. We recorded Pallas's published numbers; we did not independently verify these credentials. Those are separate checks.

Neither named physician is listed with a menopause credential. That doesn't mean Pallas's clinicians can't treat menopause well. These two may not be the people who treat you. Pallas says you'll get your actual clinician's name and license information before any prescription. Ask that person about their menopause training. If you'd like a menopause-trained clinician, The Menopause Society keeps a public directory (being listed isn't an endorsement from the society).

A basic legitimacy checklist

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A basic legitimacy checklist, table 9

A trustworthy online HRT service should…	Pallas
Require a medical intake and a clinician's prescription	Yes, as described
Use clinicians licensed in your state	Stated
Screen your history before prescribing	Stated. Pallas says it reviews history of blood clots, stroke, and breast, uterine or ovarian cancer.
Tell you clearly what's FDA-approved and what's compounded	Partly. It names two compounded creams but doesn't say for the patch or capsules.
Name your clinician before you're prescribed	Stated
Show an HRT patient track record	Not established in the sources reviewed

One more thing worth knowing. The RX Index's weight-loss review reports that several telehealth brands name the same clinical network or physicians (The RX Index's Pallas review, August 21, 2026). That report doesn't establish that those brands provide the same HRT care. Ask who will actually treat you, what follow-up is included and who handles problems.

Pallas also shows a LegitScript certification badge. LegitScript certifies health websites. We could not independently confirm the Pallas-specific issuer record in this check. You can check the badge in LegitScript's public lookup.

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How do visits, labs and refills work at Pallas?

Pallas describes an online intake reviewed by a clinician, usually by message, with ongoing check-ins. Whether you need labs or a video visit depends on your state and your history. An intake never guarantees a prescription.

Visits and states

Pallas says it serves all 50 states plus Washington, D.C., with most intakes reviewed by message. It says the seven states listed earlier, plus D.C., need a short video visit first. A clinician may still ask for a call if they need more information. These are Pallas's published access rules, not our independent review of state law.

Pallas's terms say you must be at least 18. Pallas doesn't publish a specific age range for its hormone program, so if you're in your 30s and dealing with early menopause or surgical menopause, ask whether it treats your situation.

Labs

Pallas says lab work isn't always needed and that the clinician decides. You can upload recent results to your patient portal. Pallas doesn't publish a lab price, so if a test is ordered, ask:

• "Which test, and how would the result change my plan?"
• "Who orders it, where do I go, and what will I pay?"

A note worth knowing: hormone levels swing a lot during perimenopause. A clinician can usually identify perimenopause from your age, symptoms and changes in your periods; blood hormone tests usually aren't needed. Testing may still help when symptoms start unusually early or another condition needs to be ruled out (Office on Women's Health). Be cautious of any service that sells a hormone "balance" panel to choose your dose; ACOG does not recommend adjunct hormone testing to prescribe or dose compounded menopause therapy (ACOG guidance).

Messaging, check-ins and refills

Pallas says its plans include check-ins and messaging with your care team. Its clinical disclosures also say refills aren't automatic, and that a clinician reviews each renewal. Its hormone page, meanwhile, says plans renew every 12 weeks until you cancel. Those statements can coexist: recurring billing and clinical refill approval are separate processes. Pallas doesn't explain here how a pending review affects your charge date and your supply.

Questions to ask before you start:

• Who answers clinical questions, and how fast?
• Can I book a video check-in if I want one?
• What happens if my renewal review is delayed — do I run out?
• What if the pharmacy can't supply my medicine?

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What do Pallas's own pages leave unclear?

Pallas's pages leave a few things unclear. Its Terms describe compounded GLP-1 care, while its refund policy uses broader plan language and weight-based refund conditions. Neither clearly settles HRT-specific refunds; the relationship between billing and refill approval is also unclear, as is the approval status of its patch and capsules. Get these answers in writing before you pay.

We put Pallas's pages side by side so you don't have to open eight tabs. All were read October 20, 2026.

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What do Pallas's own pages leave unclear?, table 10

Topic	One Pallas page says	Another says	What to ask
What the service is	The hormone page sells four hormone plans	The Terms (updated September 10, 2026) describe compounded GLP-1 care. The refund policy uses general plan language but includes weight-based conditions.	"Which terms and refund rules cover my hormone plan?"
Renewals	Hormone page: renews every 12 weeks until you cancel	Clinical disclosures: refills aren't automatic; each renewal gets clinician review	"Can a renewal review delay my medicine or my charge?"
Shipping	Hormone page: ships in about a week	Utah page: ships in 2–3 business days. The starting points aren't clear.	"How long from prescription to dispatch, and from dispatch to delivery?"
FDA status	Biest cream and vaginal cream: compounded	Patch and capsules: status not stated	"What's the exact product name and maker for each?"
Two products	"Each Pallas plan is one product"	The patch is "usually" for women who get progesterone elsewhere	"Can I hold the patch and capsule plans together, and what's the total?"
Reviews	Homepage: 4.8 out of 5 from 2,400+ member reviews	Trustpilot: one weight-loss review; hormone-page quotes are labeled as coming from across programs and don't explicitly identify HRT	"Where can I read reviews from hormone patients?"
Patient-count claim	Homepage: 200,000+ patients	Clinical disclosures retain July 2026 portal-launch wording; neither establishes the HRT patient count or program start date	"What does the 200,000 figure count?"

The takeaway: settle the clinical questions first. Which exact product will you get, and how will your uterus be protected if needed? The full price, refill plan and cancellation terms still matter.

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Can you cancel Pallas HRT, get a refund, or move your care?

Pallas's HRT page says you can cancel anytime and nothing is charged unless a clinician prescribes. Its general terms say cancellation stops future charges and usually does not refund a cycle once prescribed, subject to stated exceptions. Those terms describe GLP-1 care, so confirm how they apply to your HRT plan before paying.

The rules, as Pallas's terms state them

These come from Pallas's Terms and refund policy, which state they apply to purchases from September 8, 2026. The Terms describe GLP-1 care; the refund policy uses broader plan language with weight-based conditions. Confirm which provisions cover your hormone plan.

Swipe or scroll horizontally to view every column.

The rules, as Pallas's terms state them, table 11

Your situation	What Pallas's terms say happens
You cancel before a clinician decides	Nothing is charged; anything charged is refunded in full
The clinician doesn't prescribe	Nothing is charged; anything charged is refunded 100%
Your prescription has been issued	"The order is final." Canceling stops future charges. No proration or refund under the general rule; read the stated exceptions and confirm HRT application.
Your medicine has shipped	No return or refund except as required by law or allowed under the damaged-shipment and six-month-promise provisions; HRT application needs confirmation
Your package arrives damaged	Report it within 24 hours of delivery; the pharmacy replaces it or refunds you
Pallas raises its prices	At least 30 days' notice, starting with your next billing cycle
You want to cancel	Through your account portal or by contacting Pallas

Don't assume the "6-month promise" covers hormones. Pallas advertises a six-month refund promise, but its conditions require logging your starting weight and six-month weight. Its application to menopause treatment needs confirmation. Don't count on it for HRT without that answer.

Why timing matters more with 12-week billing

Here's an example of what timing can cost. Say you're on the $399 patch plan and your renewal goes through on a Monday. On Tuesday you decide to stop. Under the published no-proration rule, changing your mind generally would not refund that cycle. You've paid for 12 weeks you may not use. A plan billed one month at a time would put less prepaid supply at stake, but its refund rules still matter.

A simple habit that helps: put a reminder on your calendar seven days before every renewal date. Confirm the actual cancellation deadline first; seven days is a personal reminder, not a published Pallas cutoff. Decide before the deadline — not the day after.

If you want to move your care: a five-step checklist

Canceling a subscription and switching clinicians are two different jobs. A new clinician will usually need your records and will write their own prescription. Please don't stop a medicine without talking to a clinician.

1. Write down your next billing date and how much medicine you have left.
2. Ask Pallas how to stop future billing, and get written confirmation, including the date your plan ends.
3. Request your records and prescription details, including the pharmacy that filled it and the exact product.
4. Ask the new clinician what they need and how soon they can review your care.
5. Confirm who handles questions and refills while your care changes hands, so you don't run out.

This checklist helps you plan the logistics. It isn't a treatment plan.

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Does Pallas Health take insurance, HSA or FSA?

No, Pallas doesn't bill insurance; it's cash-pay only. It says its plans are FSA- and HSA-eligible, which lets you pay with pre-tax money but isn't the same as your insurance covering the cost.

Who should check insurance first:

• You have a PPO plan with low copays. A covered visit plus a generic estradiol or progesterone at your local pharmacy may cost less than any cash plan.
• You've already met your deductible. Same reason.
• You have Medicare or Medicaid. Pallas won't bill either one. Start with your own covered clinician or clinic.
• You have no insurance, or a very high deductible. A cash plan like Pallas's or Gala's is built for you.

On HSA and FSA: your plan administrator decides what qualifies. Ask Pallas for an itemized receipt.

If insurance matters most: Midi Health says it's in-network with most PPO plans. Its self-pay visits are $250 for a first visit and $150 for a follow-up; prescriptions and labs cost extra (read October 20, 2026). Covered care still comes with your plan's deductible, copay or coinsurance. Midi's page says Medicare patients can book as self-pay but can't submit claims, and it isn't currently accepting Medicaid or Medi-Cal patients, including as self-pay.

If you'd rather your insurance did the paying, check your exact plan before comparing any subscription price.

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What doesn't Pallas offer for menopause?

Pallas's public hormone menu doesn't list an estradiol pill, non-hormonal hot-flash medicine, testosterone or FDA-approved vaginal tablets. It expressly says it doesn't bill insurance. If you need one of those medicines, start with a provider that explicitly lists it or ask Pallas to confirm availability first; for insurance, use a covered provider.

Swipe or scroll horizontally to view every column.

What doesn't Pallas offer for menopause?, table 12

If you need…	Pallas	Where to look instead
A non-hormonal hot-flash medicine (for example, fezolinetant, sold as Veozah)	Not listed	Gala lists non-hormonal options including fezolinetant. Confirm the drug and monitoring costs. See our non-hormonal options guide.
A daily estradiol pill	Not listed	Gala; Alloy
An FDA-approved vaginal estrogen	Pallas's vaginal cream is compounded	Gala lists vaginal estradiol cream or tablets and says it prescribes FDA-approved forms. Your own clinician can also prescribe an approved product. See vaginal estrogen options.
Testosterone	Not listed	No testosterone product is FDA-approved to treat menopause symptoms or low sexual desire in women in the U.S. Testosterone is a Schedule III controlled substance and needs a prescription. Use for those purposes is off-label, so it's a conversation with a qualified clinician (FDA; DEA).
Insurance billing	Not offered	Midi, or your own in-network clinician
Weight-loss medicine	A separate Pallas program	The RX Index reviews it: Pallas Health GLP-1 reviews

About fezolinetant. "Non-hormonal" doesn't mean "no risks." Veozah's official label carries a boxed warning — the FDA's strongest — about rare but serious liver injury. It calls for liver blood tests before starting, monthly for the first three months, and at months six and nine (DailyMed). If a clinician suggests it, ask how those tests will be arranged and who pays. More in fezolinetant for hot flashes.

If hormones aren't an option for you, or you'd rather take a pill than use a cream or patch, Gala lists non-hormonal options and estradiol pills.

Affiliate link · Cash-pay care · A clinician decides whether treatment is right for you.

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Pallas vs Gala, Alloy, Midi and your own clinician: which fits your situation?

Pallas offers a clearly priced progesterone-only plan and a Biest cream. Gala lists estrogen plus oral progesterone, pills and non-hormonal options, making it a useful alternative when Pallas's menu doesn't fit; confirm the exact products and total quote. Alloy publishes per-product prices, including progesterone from $23 a month plus its consultation fee. Midi and your own in-network clinician are the insurance routes.

Find your situation

Swipe or scroll horizontally to view every column.

Find your situation, table 13

Your situation	Pallas	Gala (affiliate)	Also consider	Our read
Perimenopause; you want to discuss progesterone alone, for example for sleep	Capsules: $129 per 12 weeks	Progesterone listed; standalone price not confirmed	Alloy (from $23/month plus a $49 one-time consult); your own clinician	Compare the exact prescription and full quote. Pallas publishes a plan price; it isn't established as the cheapest. Prescribing an approved progesterone product for sleep is off-label (outside its approved uses), so it's a clinician's call.
No uterus; you want a patch	Patch: $399 per 12 weeks	Patch or pill listed; HRT advertised at $69/month, exact prescription price not confirmed	Alloy (published patch price)	Check Gala's quote. Its headline is lower than Pallas's patch equivalent, but the exact patch price and initial charge need confirmation.
You have a uterus and want FDA-approved estrogen plus oral progesterone	Default is the compounded Biest cream	Estradiol pill or patch plus oral progesterone, stated as FDA-approved forms	Alloy; Midi	Gala fits better. Confirm product names and that $69 covers both.
You have a uterus and specifically want Biest	Listed	Not listed	A menopause-trained clinician	Consider Pallas only if a clinician identifies a medical reason for compounding and an evidence-supported uterine-lining protection plan. Preference alone doesn't settle that.
Mainly vaginal dryness or pain with sex	Compounded cream: $229 per 12 weeks	Cream or tablet listed; says it uses approved forms. Exact product and price need confirmation.	Your own clinician	Gala or your own clinician, if an approved product matters to you
You can't or won't take hormones	No non-hormonal medicine listed	Non-hormonal, including fezolinetant	Non-hormonal guide	Gala is worth checking, with a quote for the medicine and any required monitoring
You want a daily estradiol pill	Not listed	Listed	Alloy	Gala, if its product and full quote fit
You want insurance to pay	No	No	Midi; your own in-network clinician	Midi or your own clinician
You want testosterone	Not listed	Not listed	A qualified clinician	Neither

The four providers side by side

Swipe or scroll horizontally to view every column.

The four providers side by side, table 14

	Pallas	Gala HRT	Alloy	Midi Health
Best for	Clinician-recommended progesterone alone, a patch after hysterectomy, or a specific medical need for compounding	Checking estrogen plus oral progesterone, a pill, or non-hormonal care	Seeing product options and prices before you start	Using insurance and scheduled video visits
Advertised price	$129–$399 per 12 weeks	$69 a month	$49 consult; estradiol pill from $39.99/month; patch $100/month; progesterone from $23/month	Self-pay: $250 first visit, $150 follow-up; with insurance, your plan's cost-sharing
How you're billed	One payment per 12-week supply	$69/month advertised; actual interval and first charge not established	$49 one-time consult plus medicines; patch billed and shipped every three months. Pill and progesterone pages also describe three-month supplies.	Per visit; medicine filled at your pharmacy
Medicine in the price?	Yes, one product	Gala says medicine is included; which prescriptions or combinations fit the headline price is unconfirmed	Priced per product	No; labs also cost extra
FDA-approved or compounded	Two creams compounded; patch and capsules not stated	Says FDA-approved forms; product names not published	Publishes its menu; confirm your exact product	Prescribed through your pharmacy
Non-hormonal options	Not listed on the reviewed HRT menu	Yes, including fezolinetant	Check Alloy's menu	Yes, through its clinicians
Insurance	No	No	No	Most PPO plans; not Medicaid; Medicare out of network
Cancel terms	Cancel anytime; general Terms say no current-cycle refund once prescribed, with exceptions. Confirm HRT application.	Its general refund policy has a 72-hour cutoff before billing; confirm for HRT	Check Alloy's terms	Visit-based; no subscription
Customer reviews	No independent HRT track record established in our check	Company-wide Trustpilot: 4.6/5 from 4,242 reviews, checked October 20, 2026. Includes weight-loss care and merged profiles; not an HRT-specific rating.	Not reviewed here	Not reviewed here
Our link	Not monetized	Affiliate	Not monetized	Not monetized
Checked	October 20, 2026	October 20, 2026	October 20, 2026	October 20, 2026

Honest reads

Pallas vs Gala. Pallas publishes each of its four plan prices before you start. Gala's menu covers more situations: a pill, oral progesterone alongside estrogen, local tablets and non-hormonal care. It advertises HRT at $69 a month, but that isn't a confirmed quote for every option or combination. Gala's weak spot is that it doesn't name its dispensed products and its own pages disagree on when you're first charged. Ask before you pay. Our Gala HRT review has the questions.

Pallas vs Alloy. Alloy shows you product options and per-product prices before you start, which suits women who want more detail first. Its patch is $100 per month, billed and shipped every three months, plus a $49 one-time consult. Pallas shows one plan price per product, including clinician care, but unpriced labs or another prescription can still increase the total.

Pallas vs Midi. These are different kinds of care. Midi is appointments and insurance. Pallas is a cash plan reviewed mostly by message. Your insurance card usually decides this one.

Pallas vs your own clinician. If you already have a doctor who knows your history, asking them first is always fair. A generic estradiol patch or progesterone at a local pharmacy can be inexpensive with insurance.

For the full field, see our comparison of online HRT providers.

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Who is Pallas HRT best for, and who should skip it?

Pallas may fit cash-paying women whose clinician recommends progesterone alone, a patch after a hysterectomy, or compounding for a specific medical need. You also need to be comfortable with the limited independent HRT review evidence. Compare elsewhere first if you want confirmed approved estrogen plus oral progesterone, non-hormonal care, a pill, insurance billing or a stronger patient track record.

A 30-second self-check

Answer these honestly. Nobody sees your answers but you, and each answer points somewhere.

1. Do you still have a uterus? Yes: read the uterus section before choosing a Pallas plan. No: the patch is the plan Pallas aims at women like you.
2. Must your medicine be an FDA-approved product? Yes: ask Pallas for product names before paying, or start with a service that lists approved forms.
3. What bothers you most? Sleep problems have many causes; describe them to a clinician rather than choosing progesterone from a symptom alone. Hot flashes or night sweats → ask about whole-body estrogen or a non-hormonal medicine. Vaginal dryness → ask about local treatment. These are discussion routes, not a prescription choice.
4. Any unexplained vaginal bleeding, or a history of blood clots, stroke, heart attack, liver disease, or breast or uterine cancer? Yes: see when to see someone in person first before any online plan.

If Pallas clearly fits — a clinician recommends progesterone alone, a patch after hysterectomy, or a compounded product for a specific medical need with an adequate protection plan:

If you have a uterus and want FDA-approved estrogen with oral progesterone, a pill, or non-hormonal care:

Affiliate link · A clinician decides whether treatment is right for you.

If you're still not sure which kind of care fits, the free quiz can help you explore a starting point in about a minute — and flag when online care may not be the right place to begin.

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When should you see a clinician in person first?

Some situations need an exam or a fuller review before any online plan makes sense. Bleeding after menopause or any vaginal bleeding you can't explain, an unclear diagnosis, or a complicated health history should change your first question from "which plan?" to "what check-up do I need?"

Breast or uterine cancer, unexplained uterine bleeding, liver disease, a history of blood clots and heart disease can make whole-body hormone therapy unsuitable and call for a fuller clinician review (The Menopause Society). That doesn't mean there's no help for you. Non-hormonal options exist, and a specialist can weigh your situation. Low-dose vaginal treatment has a different risk profile and needs its own discussion. A quiz or a website can't clear these histories for you.

Start with an in-person clinician if:

• You have bleeding after menopause, or bleeding you can't explain
• You've had a blood clot, stroke or heart attack
• You've had breast, uterine or another hormone-sensitive cancer, or been told to avoid estrogen
• You have liver disease
• You might be pregnant, or are trying to be
• You have menopause-like symptoms unusually early, especially if your periods stop before 40. A clinician should check the cause (Office on Women's Health).

Timing matters too. The Menopause Society describes a generally more favorable balance of benefits and risks for treating symptoms in healthy women under 60 or within 10 years of menopause, without reasons to avoid systemic therapy. Outside that window, the decision needs a closer review. It isn't automatically "no," but it calls for a careful conversation.

You can book a visit to understand your options without committing to any medicine. Saying no to a subscription is a perfectly good outcome. To find a menopause-trained clinician near you, use The Menopause Society's practitioner directory. For the bigger picture, see HRT benefits and risks. If you think you're having a medical emergency, call 911.

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What should you ask Pallas before you pay?

Ten written answers settle almost everything reviews can't: the exact product, whether it's FDA-approved, how your uterus is protected, what you'll pay and when, what's extra, and how to leave. Get them in writing so you have a record.

Copy and paste this into a message to Pallas

Hi Pallas — before I start hormone therapy, could you confirm in writing:

1. Which exact product would I receive, who makes it, and which pharmacy fills it?
2. Is that finished product FDA-approved or compounded? If compounded, why is it better for me than an approved product?
3. Does my plan include every medicine the clinician recommends, or will I need a second plan or another prescriber?
4. I [do / do not] have a uterus. If whole-body estrogen is prescribed, what evidence supports my protection plan, and who handles unexpected bleeding?
5. What will be charged, and when? What is my next charge date after that?
6. What's included, and what costs extra (labs, a second medicine, anything else)?
7. Who answers my clinical questions, and how quickly?
8. What has to happen before each renewal, and what if that review is delayed?
9. Which Terms of Service and refund policy cover hormone therapy? (Yours mention weight loss.) What do I lose if I cancel after my prescription is issued?
10. If this isn't a fit, how do I get my records and prescription details to another clinician?

Thank you.

Keep your own record

MY PALLAS HRT RECORD (keep this private)

Date I asked: __________
Plan: ______________  Product / maker: ______________
FDA-approved or compounded: ______________
Uterus protection plan (if I have a uterus): ______________
Charged today: $______   Next charge date: __________
Extras (labs, second medicine): ______________
Clinician name and license: ______________
How to reach my care team: ______________
Last day to decide before my next charge: __________

My decision:  start Pallas  /  compare others  /  see someone in person

If the answers are clear and they fit your situation, Pallas is a simple, price-up-front way to get a clinician's review.

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How we reviewed Pallas Health

We read Pallas's public hormone pages, terms, refund policy, clinical disclosures and review profiles on October 20, 2026, and checked medical points against the FDA, The Menopause Society, ACOG and published research. We didn't sign up or receive care, so this is a documentation review.

We use The HRT Index Verification Standard, which looks at five things in this order. We don't give Pallas a score. A number built on documents alone would suggest more certainty than we have.

Swipe or scroll horizontally to view every column.

How we reviewed Pallas Health, table 15

Pillar	What we looked for	What we found for Pallas	Status
1. Clinical legitimacy	A real company, licensed clinicians, review before prescribing	Named company, clinical partner, two physicians with federal ID numbers, and seven pharmacies. No menopause specialist named.	Model documented; your clinician's license not checked
2. Care quality	Follow-up, messaging, dose changes, how problems are handled	Check-ins and messaging stated; general clinical disclosures say refills receive clinician review. No independent HRT track record established in our check.	Stated, not tested
3. Medication fit	Which products, FDA-approved or compounded, routes, uterus protection	Four products; two compounded; the default for women with a uterus relies on skin progesterone; no pill or non-hormonal option listed	Partly confirmed — our main concern
4. Price transparency	Full price, billing, refunds	Four public plan prices; 12-week billing; general Terms say orders are final once prescribed, with exceptions; HRT application unclear	Strong on publishing plan prices; full-care costs and policy scope incomplete
5. Access	States, age, insurance, speed	Says all 50 states plus D.C.; mostly message-based; general terms say adults 18+; cash only	Provider-published; individual acceptance requires clinician review; no HRT-specific age range

What would change our view:

• Real reviews from hormone patients, good or bad
• Pallas naming its patch and capsule products, and confirming whether they're FDA-approved
• A combined estrogen-plus-oral-progesterone plan
• Hormone-specific terms and refund rules
• A change from 12-week to monthly billing
• Evidence supporting uterine protection with its Biest cream

What a documentation review can't tell you: how quickly a clinician answers, how the medicine arrives, or how you'll feel on it. Patient accounts can help with those questions, but we did not establish an independent HRT-specific patient track record in this check.

Our full approach is in our methodology. We earn commissions from some providers, including Gala. This page also links directly to Pallas, Alloy and Midi without commission links, because a one-sided page wouldn't help you.

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Pallas Health HRT: quick answers

Is Pallas Health legit? It passes a basic paperwork check: a named company (Brentmoor, Inc.), clinical partner (Lion MD), physicians with published federal ID numbers and named pharmacies. We did not establish an independent HRT patient track record or verify individual clinician credentials.

Are there any Pallas Health HRT reviews? We did not find an independent HRT-specific patient review in the sources checked. Its Trustpilot page had one weight-loss review on October 20, 2026, and its hormone-page quotes are labeled as coming from across programs.

How much does Pallas HRT cost? $129 to $399 per 12-week supply, depending on the plan. If you continue at the same price and each renewal is prescribed and billed on schedule, you pay twice in the first 90 days and five times in the first 365 days. Extras may increase the total. See the payment table.

Is Pallas's hormone therapy FDA-approved? Pallas says its Biest cream and its vaginal cream are compounded, not FDA-approved. It doesn't say for the patch or the capsules, so ask for the product names.

What is Pallas's Biest cream? A compounded skin cream with two estrogens — estriol and estradiol — plus progesterone. Estriol isn't in any FDA-approved U.S. product.

Do I need progesterone with the Pallas patch? If you have a uterus, whole-body estrogen generally needs a progestogen to protect the lining. The patch plan doesn't include one. Ask your clinician how that's handled.

Does Pallas Health take insurance? No. It's cash-pay. Pallas says plans are HSA- and FSA-eligible.

Do I need a video visit? Not in most states, according to Pallas. It says it requires one in Arkansas, Mississippi, New Mexico, North Dakota, Rhode Island, South Dakota, West Virginia and Washington, D.C.

Do I need lab tests? Pallas says the clinician decides. It doesn't publish a lab price, so ask what's needed and what it costs.

Can I cancel Pallas HRT? Yes, its HRT page says anytime. General terms say cancellation stops future charges and usually does not refund a prescribed cycle, with exceptions; confirm the HRT-specific rules before paying.

Does Pallas offer non-hormonal treatment or testosterone? Neither is listed on the public HRT menu we reviewed. Ask Pallas to confirm, or start with a clinician or service that explicitly covers the option you need.

Is Pallas Health the same as Pallas Clinic? This review covers the U.S. service at pallashealth.co, operated by Brentmoor, Inc. Pallas Clinic in Latvia and Pallas Kliniken in Switzerland are different named services; don't use their reviews to judge this HRT program.

Does Pallas Health also do weight loss? Yes, as a separate GLP-1 program. The RX Index reviews it: Pallas Health GLP-1 reviews.

Is Pallas or Gala cheaper? Pallas's progesterone price is below Gala's $69 monthly headline; its patch and Biest prices are above it. Gala's price for your exact medicines and its billing interval need confirmation, so a complete matched-prescription cost comparison isn't established.

Can Find My HRT Path tell me whether HRT is safe for me? No. It points you toward a starting place and flags when online care isn't the right first step. A licensed clinician decides what's safe for you.

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Bottom line: should you try Pallas Health HRT?

Pallas is a documented, price-up-front option to consider when a clinician recommends progesterone alone, a patch after a hysterectomy, or compounding for a specific medical need. Its independent HRT review evidence is limited. And if you have a uterus and want whole-body estrogen, the plan it leans on deserves one hard question before you pay.

Here's the whole page in four lines:

• The reviews: no independent HRT patient track record established in our check. Judge the offer, not stars.
• The price: $129–$399 every 12 weeks. If you continue and renewals are prescribed and billed on schedule, that's two payments in your first 90 days and five in your first 365 days, before extras.
• The medicine: two of four plans are compounded. If you have a uterus and use whole-body estrogen, ask how it's protected.
• The exit: cancel anytime; confirm how the general no-proration rule and its exceptions apply to your HRT order.

If Pallas fits you, look at its current plans and keep the questions above handy:

If you have a uterus and want FDA-approved estrogen with oral progesterone, a pill, or non-hormonal care, Gala lists those routes. It advertises HRT at $69 a month; confirm the exact products and full price for your prescription:

Gala may pay The HRT Index if you enroll. A prescription is never guaranteed.

Still not sure what kind of care fits? That's a different question from "is Pallas any good," and it deserves its own answer. The free Find My HRT Path quiz asks about your symptoms, what you've tried, your age, your state and your health history. Then it shows a featured care option — or tells you when to see someone in person first. About 60 seconds, no email, and no diagnosis.

And if you already have a clinician who knows your history, it's always fair to ask them first.

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Sources

Pallas Health (all read October 20, 2026)

• Pallas — Hormone Therapy for Menopause
• Pallas — Hormone therapy online in Utah (page updated September 23, 2026)
• Pallas — Hormone therapy in Arkansas and Washington, D.C.
• Pallas — Homepage
• Pallas — Terms of Service (updated September 10, 2026)
• Pallas — Refund policy (applies to purchases from September 8, 2026)
• Pallas — Clinical disclosures (updated October 5, 2026)
• Pallas — Medical team
• Trustpilot — Pallas Health
• LegitScript — public certification lookup (lookup opened; Pallas-specific issuer status not independently confirmed)

Gala and other providers (read October 20, 2026)

• Gala — Hormone Health, Estradiol, Progesterone, Vaginal estradiol and Non-hormonal options
• Gala — HRT advertised at $69/month, other HRT landing page, Terms and conditions and refund policy
• Trustpilot — Gala Health (company-wide profile, not an HRT-only rating)
• The HRT Index — Gala Health HRT review
• Alloy — Estradiol pill, estradiol patch and progesterone
• Midi Health — Pricing and insurance

Medical and regulatory (read October 20, 2026)

• The Menopause Society — Hormone therapy
• FDA — Menopause (includes its current estriol statement)
• FDA — Compounding and the FDA: Questions and Answers
• ACOG — Compounded Bioidentical Menopausal Hormone Therapy (Clinical Consensus, 2023), hosted by the Alabama Board of Medical Examiners
• British Menopause Society — Progestogens and endometrial protection (May 2026)
• Wren BG. Transdermal progesterone creams for postmenopausal women: more hype than hope? Med J Aust 2005;182(5):237–239
• FDA — Labeling changes for menopausal hormone therapy products (February 12, 2026)
• DailyMed — Veozah (fezolinetant) label
• DailyMed — Prometrium label (updated July 23, 2026; not an identification of Pallas's capsule)
• FDA — Testosterone use in menopausal women, August 18, 2026 notice
• DEA — Drug scheduling
• Office on Women's Health — Menopause basics
• The Menopause Society — Find a menopause practitioner

Other reviews of Pallas (weight-loss program)

• HealingMaps — Pallas Health review (modified October 20, 2026)
• The RX Index — Pallas Health GLP-1 reviews (review dated August 21, 2026; opened October 20)

Names and care-navigation resources (read October 20, 2026)

• Pallas Clinic — Privacy policy and legal identity
• Swiss UID register — Pallas Kliniken AG
• The HRT Index — Find My HRT Path and how it works

The HRT Index is an independent editorial publication. We are not a healthcare provider, pharmacy or telehealth service. Nothing here is medical advice, a diagnosis or a treatment plan. For decisions about starting, stopping or changing hormone therapy, talk with a licensed clinician who knows your history. In an emergency, call 911.